This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 16-247 for the current year.
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.
The document is provided in Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 16-247?
A: DSHS Form 16-247 is a document that explains your rights and responsibilities when receiving Mac or Tsoa services offered by the Aging and Long-Term Support Administration in Washington.
Q: What are Mac and Tsoa services?
A: Mac and Tsoa services are services offered by the Aging and Long-Term Support Administration in Washington for older adults and individuals with disabilities.
Q: What does this document cover?
A: This document covers the rights and responsibilities you have when receiving Mac or Tsoa services.
Q: What are some of the rights mentioned in this document?
A: Some of the rights mentioned in this document include the right to be treated with respect and dignity, the right to privacy, and the right to make decisions about your own care.
Q: What are some of the responsibilities mentioned in this document?
A: Some of the responsibilities mentioned in this document include providing accurate and complete information about yourself, following the instructions of your Mac or Tsoa providers, and reporting any changes in your situation.
Q: Is this document available in other languages?
A: Yes, this document is available in multiple languages, including Lao.
Form Details:
Download a printable version of DSHS Form 16-247 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.